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Outpatient Substance Use Treatment · New York, NY

Parallax Center Inc

Ambulatory / Outpatient Detox Outpatient Program Intensive Outpatient (IOP)
Address
145 East 32nd Street 6th Floor
New York, NY 10016
Accredited by
CARF International
Admissions
Call to confirm availability

About

About Parallax Center Inc

Parallax Center, Inc. has anchored outpatient addiction treatment in Manhattan’s Murray Hill neighborhood for more than three decades, operating from the sixth floor of 145 East 32nd Street between Lexington and Third Avenues. The program brands itself around ‘Supervised Detoxification and Substance Use Program’ and combines ambulatory detox with full outpatient treatment under a dual NY OASAS license: 816 for outpatient medical withdrawal and 822 for the outpatient treatment program.

Clinically, Parallax is best known for its non-opioid withdrawal protocol. Rather than using opioid medications to manage withdrawal, the program uses a specific protocol that induces patients onto naltrexone, an opioid receptor blocker, which the website describes as supporting rapid restoration of normal brain function and healing of the opioid-impaired nervous system. The center also runs traditional outpatient programming with individual and group therapy, telehealth, and integrated medical and psychiatric services – all delivered through a strength-based, person-centered, and trauma-informed approach.

Dr. Alexandra (Alexa) Fingesten serves as Medical Director and has held that position since 2002. She is a Primary Care Physician with expertise in Internal Medicine and Addiction Medicine, overseeing all medical services including psychiatric and detoxification protocols. CEO Jacques Nir, LCSW, SIFI, is a Columbia University School of Social Work graduate who leads both the 816 outpatient medical withdrawal program and the 822 outpatient treatment program.

Parallax detoxes and treats clients from alcohol, opioids (including heroin, fentanyl, prescription opioids, and kratom), benzodiazepines and sedatives (Xanax, Klonopin, Ambien, GHB), stimulants, hallucinogens (MDMA, LSD, ketamine), and inhalants. Specialized programming addresses DUI/DWI cases. Populations served include veterans, pregnant women, young adults, older adults, men, women, clients with HIV/AIDS support needs, and court-ordered admissions. Services are offered in English, French, and Vietnamese, and the program accepts Medicaid, state insurance, private insurance, and self-pay.

  • Non-opioid withdrawal protocols for safer medical detox without dependency risks
  • Seven-day-a-week operation providing immediate access to medically supervised detox
  • CARF International accreditation with over 40 years treating NYC residents
  • On-site physician specializing in Internal Medicine and Addiction Medicine
  • Sublocade® extended-release buprenorphine injection for long-term opioid detox support

Treatment

What this center treats and how

Levels of care
Ambulatory / Outpatient Detox Outpatient Program Intensive Outpatient (IOP)
Conditions
Substance Use Disorder Alcohol Use Disorder Opioid Use Disorder (heroin, fentanyl, prescription opioids, kratom) Benzodiazepine and Sedative Dependence (Xanax, Klonopin, Ambien, GHB) Stimulant Use (crystal meth, prescription stimulants like Adderall) Hallucinogen Use (MDMA, LSD, ketamine) Inhalant Use (poppers, whippits) Co-Occurring Disorders / Dual Diagnosis Trauma / PTSD
Methods
Cognitive Behavioral Therapy (CBT) Individual Therapy Group Therapy Telehealth Non-Opioid Withdrawal Protocol Naltrexone-Based Medication Management Trauma-Informed Care Strength-Based, Person-Centered Care Family Intervention and Support
Populations
Veterans Pregnant Women Young Adults (18-25) Seniors / Older Adults Men Women HIV/AIDS Support Court-Ordered
Languages
English French Vietnamese
Facility
Murray Hill / Midtown East location at 145 East 32nd Street, 6th Floor Operating for more than 30 years Non-opioid withdrawal protocol using naltrexone induction Dual NY OASAS certification (816 medical withdrawal + 822 outpatient) Confidentiality-focused outpatient setting Telehealth services DUI/DWI specialty program

Location

Where it is

145 East 32nd Street 6th Floor, New York, NY 10016 Get directions

Ready to talk to Parallax Center Inc?

Calls go directly to the center. Free and confidential.

Call (212) 779-9207

Medical Detox Programs and Withdrawal Management

Parallax Center's medical detox program operates under the supervision of Dr. Alexandra Fingesten, providing medically supervised withdrawal management for alcohol, opioids, and other substances. The facility's non-opioid withdrawal protocols minimize dependency risks while managing acute withdrawal symptoms through FDA-approved medications and 24/7 medical monitoring.

Patients accessing inpatient detox services receive individualized withdrawal management plans based on substance type, usage history, and medical complexity. The center's medication-assisted treatment options include Sublocade® injections for opioid detox cases and naltrexone induction protocols for patients transitioning from opioid dependency to long-term recovery maintenance.

Outpatient Detox and Continuing Care Services

Following medical detox completion, patients can transition to intensive outpatient programs or standard outpatient treatment while maintaining medication-assisted treatment protocols. The center's ambulatory detox services allow certain patients to complete withdrawal management while residing at home, attending daily medical appointments for monitoring and medication adjustment.

Continuing care treatment includes ongoing MAT management, cognitive behavioral therapy, and group counseling sessions. Discharge planning incorporates naloxone education and overdose prevention training, ensuring patients and families understand emergency intervention procedures following detox completion.

Specialized Population Services

Parallax Center provides targeted detox programs for veterans, pregnant women, and patients with co-occurring mental health disorders requiring dual diagnosis treatment. The facility's specialized protocols address the unique medical needs of different populations during withdrawal management, including trauma-informed care for PTSD patients and modified detox approaches for pregnant women.

Court-ordered patients receive compliance documentation and structured treatment plans meeting legal requirements while addressing underlying addiction disorders. Young adults aged 18-25 access age-appropriate group therapy and peer support services designed for early-stage addiction intervention and long-term recovery planning.

After Care

Continuing support

Continuation from detox to ongoing outpatient treatment within Parallax Vocational rehabilitation support Family intervention and support services

Cost & Credentials

What's covered and who vouches for it

Payment options
Medicaid Private Insurance Self-Pay / Cash State Insurance
Accreditations
CARF International NY OASAS 816 Outpatient Medical Withdrawal NY OASAS 822 Outpatient Treatment

Common questions

FAQs About Parallax Center Inc

Does Parallax Center provide 24/7 medical supervision during detox? +
Yes, Parallax Center offers medically supervised detox under the direction of Dr. Alexandra Fingesten, a physician specializing in Internal Medicine and Addiction Medicine. The facility maintains medical oversight throughout the withdrawal management process to ensure patient safety and symptom management.
What types of medication-assisted treatment are available for opioid detox? +
The center provides Sublocade® extended-release buprenorphine injections and naltrexone induction protocols for opioid detox patients. These FDA-approved medications help manage withdrawal symptoms and support long-term recovery from opioid dependency under physician supervision.
Does the facility accept insurance for medical detox services? +
Parallax Center accepts major insurance carriers including Aetna, BCBS, Cigna, and Anthem BCBS for detox programs. The facility also accepts Medicaid, state insurance, and self-pay options to ensure accessibility for patients requiring immediate withdrawal management.
What makes Parallax Center's withdrawal protocols different from other detox centers? +
The center specializes in non-opioid withdrawal protocols that avoid creating additional dependencies during detox treatment. This approach reduces risks associated with traditional opioid-based withdrawal management while maintaining effective symptom control through alternative medications.
Can patients access detox services on weekends and holidays? +
Yes, Parallax Center operates seven days a week from 9 AM to 5 PM, including weekends and holidays. This schedule ensures patients in crisis can access medical detox and withdrawal management without waiting for traditional weekday business hours.
Does the center provide detox services for alcohol and benzodiazepine withdrawal? +
Parallax Center offers medically supervised detox for alcohol and other substances beyond opioids. The facility's withdrawal management protocols address various substance dependencies under medical supervision to prevent dangerous complications during detox.
What happens after completing medical detox at Parallax Center? +
Patients can transition to the center's intensive outpatient or standard outpatient programs for continuing addiction treatment. Discharge planning includes ongoing medication-assisted treatment, counseling services, and naloxone education for overdose prevention.
Does Parallax Center treat patients with dual diagnosis conditions? +
Yes, the facility provides specialized treatment for co-occurring disorders, addressing both addiction and mental health conditions simultaneously. The center's dual diagnosis approach ensures comprehensive care for patients with complex treatment needs during detox and ongoing recovery.

Services

Programs and specialties

Treatment type
Outpatient Outpatient detoxification IOP Outpatient methadone/buprenorphine or naltrexone treatment Aftercare recovery programs Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Opioid Detoxification Methamphetamines detoxification Routinely uses medication for detoxification
Payment
Cash or self-payment State-financed health insurance plan other than Medicaid Medicaid Military insurance (e.g. TRICARE)
Specialty
Mental health counseling for co-occurring disorders Group therapy Family therapy Marital/couples counseling Addiction recovery education Adolescents Adolescents and young adults Pregnant/postpartum women Adult men Seniors or older adults Gay & Lesbian Veterans Active duty military Clients referred from the court/judicial system
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